This textbook surveys the current knowledge on substance use disorders (SUD), summarizing scientific evidence from numerous fields. It uses a biopsychosocial framework to integrate the many factors that contribute to addictions, from genetic predispositions, neurological responses caused by drugs, co-occurring psychiatric disorders, personality traits, and developmental conditions to cultural influences. Real-life vignettes and first-person accounts build understanding of the lived experience of addiction. The currently accepted practices for diagnosis and treatment are presented, including the role of 12-step programmes and other mutual-assistance groups. The text also investigates the research methods that form the foundation of evidence-based knowledge. The main body text is augmented by study guideposts such as learning objectives, review exercises, highlighted key terms, and chapter summaries, which enable more efficient comprehension and retention of the book's material.

When "The Natural History of Alcoholism" was first published in 1983, it was acclaimed in the press as the single most important contribution to the literature on alcoholism since the first edition of Alcoholic Anonymous's Big Book. George Vaillant took on the crucial questions of whether alcoholism is a symptom or a disease, whether it is progressive, whether alcoholics differ from others before the onset of their alcoholism, and whether alcoholics can safely drink. Based on an evaluation of more than 600 individuals followed for over forty years, Vaillant's monumental study offered new and authoritative answers to all of these questions.

In this updated version of his classic book Vaillant returns to the same subjects with the perspective gained from fifteen years of further follow-up. Alcoholics who had been studied to age 50 in the earlier book have now reached age 65 and beyond, and Vaillant reassesses what we know about alcoholism in light of both their experiences and the many new studies of the disease by other researchers. The result is a sharper focus on the nature and course of this devastating disorder as well as a sounder foundation for the assessment of various treatments.

If you're the family member of an addict, you may feel confused, guilty, and scared of doing the wrong thing. And when you don't know how to help, you may find yourself in a codependent role, trying so hard to keep your addicted loved one alive, out of jail, or emotionally appeased that you may actually prevent them from realizing they need help. Drawing on her own personal experience with her brother's addiction, Addict in the House offers a pragmatic, step-by-step guide to dealing with a loved one's addiction, from accepting the reality of the disease to surviving what may be repeated cycles of recovery and relapse. You'll learn how to encourage your addicted loved one to get help without forcing it, and finally find the strength to let go of co-dependence. With this revealing and straightforward book, you'll have the support you need to take an honest look at how addiction has affected the family, cope with the emotional hurdles of having an addicted family member, create and maintain firm boundaries, and make informed decisions about how to best help your loved one.

The headlines ring with stories of opioid addiction and overdose. Parents complain about their children's screen addiction, law enforcement decries the flood of fentanyl, scores of Americans overdose and die daily, and teen alcohol poisoning and marijuana-induced psychosis rates continue to rise. Disabling depression and anxiety are diagnosed at alarming rates in families across the country. Now, more than ever, families struggle to live with, care for, and protect their family members suffering with addiction or mental illness. Kenneth Perlmutter, a California psychologist with 30-plus years in the field, has written Freedom from Family Dysfunction specifically for family members who love someone battling addiction or mental illness who want to break the cycles of codependency and relapse plaguing their dysfunctional systems. The combination of compelling vignettes, lively dialogues, and step-by-step instructions makes this guidebook an indispensable tool for the parents, partners, adult children, and the clinicians who treat them, to heal the powerlessness, pain, and impossibility of life with someone they've been trying to help, sometimes for decades. Perlmutter takes a systemic and inter-generational view, combining current knowledge with his deep personal experience of addiction and family dysfunction to guide readers toward understanding their systems, their positions in them, and the forces that keep things stuck. "Stress-Induced Impaired Coping (SIIC)" is the term he's coined to describe his ground-breaking model of family system pathology and recovery. He invites families to see themselves not as dysfunctional, but as wounded, as they work toward connection, closeness, and the restoration of systemic mental wellness and sustainability. Best of all, the method works regardless of whether the one identified as "the problem" makes changes or not. Family members who take up Perlmutter's method will: * create closeness by pursuing connection over being right * reject "tough love" * learn to communicate authentically and to set boundaries confidently and fairly * rebuild trust, authenticity and equality in family relationships * reduce chaos, anxiety and distress in the mind and in the home * shift the entire family system itself toward wellness

Adolescent substance use is a serious-and potentially deadly-problem with many repercussions for the adolescent, the family, and society at large. It is also an issue that too few education professionals feel prepared to address even as they see it playing out in their schools and classrooms. Struggling with Substance Use: Supporting Students' Social Emotional Learning presents evidence on the magnitude of the problem and the many underlying factors and commonly co-occurring disorders associated with student substance use. It covers the risk factors for adolescent substance use (e.g., trauma, ADHD, peer pressure, and family dysfunction) and contrasts each with specific protective factors that education professionals need to consider when designing schoolwide programs and classroom initiatives. Each chapter concludes with an example of an evidence-based program that has made a difference for students and families. Armed with knowledge, understanding, and examples of proven programs, school professionals can incorporate the necessary protective factors to provide hope and help for struggling students and their families.